The
HLA-G 5'URR extending 1.4 kb from the ATG presents a unique set of regulatory elements among HLA genes. Several variable sites have been described that coincide with or are close to these elements, thus
HLA-G 5'URR polymorphism might influence the
HLA-G expression level. We cloned the ten most frequent
HLA-G 5'URR haplotypes to evaluate their activity on a
luciferase reporter gene in HLA-G+ cell lines (JEG-3/
choriocarcinoma and FON+/
melanoma). We also investigated associations between the plasma
HLA-G (sHLA-G) levels and the
HLA-G 5'URR variability in 157 healthy individuals. Cell lines were transfected with pGL3-Basic vector constructions containing
HLA-G 5'URR sequences. The G010101a (in JEG-3) and G010101b (in FON+) haplotypes exhibited higher promoter activity, whereas the G010101d (in JEG-3) and G010102a (in FON+) haplotypes exhibited lower promoter activity. In the presence of
HLA-G inducers (interferon-β and
progesterone) or repressors (
cyclopamine)
HLA-G promoter activity was modulated, but certain haplotypes exhibited differential responses. No strict association was observed between plasma sHLA-G levels and the 5'URR haplotypes or genotypes; however, the G010101b haplotype was underrepresented among
HLA-G-negative plasmas. Therefore, the
HLA-G 5'URR polymorphism may have an impact on the modulation of
HLA-G gene expression, but alone provides a limited predictive value for sHLA-G levels in vivo.